Schnedl W J, Lipp R W, Wallner-Liebmann S J, Kalmar P, Szolar D H, Mangge H
Practice for General Internal Medicine, Dr Theodor Körnerstrasse 19b, Bruck, Austria.
Department of Radiology, Medical University of Graz, Graz, Austria.
Eur J Clin Nutr. 2014 Dec;68(12):1359-61. doi: 10.1038/ejcn.2014.109. Epub 2014 Jun 18.
Primary epiploic appendagitis (PEA) is a rare cause of abdominal acute or subacute complaints. Diagnosis of PEA is made when computed tomography (CT) reveals a characteristic lesion. We report on contrast-enhanced CT images of a patient with PEA and regression of inflammation and the reduction in size of the inflamed appendage over the time period of 4 months. Patients with PEA usually recover without medication or surgical treatment within a few weeks. However, due to continuing bloating and irregular bowel movements we investigated carbohydrate malabsorption and diagnosed a fructose malabsorption. Bloating and irregular bowel movements in this patient with PEA were correlated to carbohydrate malabsorption and were treated successfully with a diet free of culprit carbohydrates.
原发性网膜附件炎（PEA）是腹部急性或亚急性不适的罕见病因。当计算机断层扫描（CT）显示出特征性病变时即可诊断为PEA。我们报告了一名PEA患者的增强CT图像，以及在4个月的时间里炎症消退和发炎附件大小缩小的情况。PEA患者通常在几周内无需药物或手术治疗即可康复。然而，由于持续的腹胀和排便不规律，我们对碳水化合物吸收不良进行了调查，并诊断为果糖吸收不良。该PEA患者的腹胀和排便不规律与碳水化合物吸收不良有关，通过不含致病碳水化合物的饮食成功治愈。
